TY - JOUR PY - 2015// TI - A randomized practical behavioural trial of curriculum-based advocacy training for individuals with traumatic brain injury and their families JO - Brain injury A1 - Brown, Allen W. A1 - Moessner, Anne M. A1 - Bergquist, Thomas F. A1 - Kendall, Kathryn S. A1 - Diehl, Nancy N. A1 - Mandrekar, Jay SP - 1530 EP - 1538 VL - 29 IS - 13-14 N2 - PRIMARY OBJECTIVE: To test whether a curriculum-based advocacy training programme improves advocacy behaviour when compared to a matched group engaged in self-directed advocacy activities. RESEARCH DESIGN: Community-based randomized practical behavioural trial.

METHODS AND PROCEDURES: Adults with moderate-severe TBI 1 or more years post-injury and their family members were recruited in Minnesota (4 years), Iowa and Wisconsin (each 3 years) and randomized into a curriculum-based or self-directed advocacy training group. Both groups met on the same day, at separate locations in the same city, once per month for 4 consecutive months. MAIN OUTCOMES AND RESULTS: Pre-post written and video testimony were rated using the Advocacy Behaviour Rating Scale (ABRS). Mean ABRS scores increased after intervention in both groups (curriculum n = 129, self-directed n = 128), but there was no significant difference in this increase between groups. When groups were combined, a significant pre-post improvement in mean ABRS scores was observed.

CONCLUSIONS: Curriculum-based advocacy training was not superior to a self-directed approach in improving ABRS scores. A significant improvement in expression of an advocacy message was observed when intervention groups were combined. These findings suggest that bringing together like-minded motivated individuals is more important than programme structure or content in changing advocacy behaviour.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.3109/02699052.2015.1075173 ID - ref1 ER -